Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2002
Offers telehealth
NPI: 1922082577
Practice Locations (1)
TIDALHEALTH PRIMARY CARE LLC
30265 COMMERCE DR, UNIT 206
MILLSBORO, DE 199663595
3027328400
Source: CMS National Downloadable File, September 2026.